The comparison of the clinical efficicy and lung function of thoracoscopic pulmonary lobectomy and pulmonary seg-mentectomy in patients with lung cancer
ZHAO Xiaolong
MENG Shenglan
CAI Yunting
NIU Huijun
Abstract：Objective To compare the clinical efficacies of thoracoscopic pulmonary lobectomy and segmentectomy in treating patients with lung cancer and the influence on lung function .Methods Fifty-eight cases of patients with early stage lung cancer were enrolled, which were treated in the hospital from October 2013 to October 2015, and were divided into the segmentectomy group (29 cases) and lobectomy group (29 cases) according to thoracoscopic resection range .The patients of two groups were treated with urine , blood, liver and kidney function, blood coagulation, tumor markers,PETCT examination and other routine checks, to exclude distant metastases before surgery .The patients of two groups were respectively treated with segmentectomy and lobectomy, which were all two holes.The blood loss, pleural drainage, operative time, the number of lymph nodes rssection, postoperative hospital stay, chest tube indwelling time, lung function (FEV1 , FVC) changes and pain scores and the incidence of complications of patients in both groups were compared .Results The blood loss, pleural drain-age, operative time, pain scores on the 1st, 3rd, and 7th day after operation of the segmentectomy group was significantly low -er than those of the lobectomy group ( t =8.047,1.744,1.759,4.393,4.560,3.741, P <0.05, P <0.01).In terms of the number of lymph node resection, postoperative hospital stay and chest tube indwelling time , there was no significant difference between the two groups ( t =0.453,0.230,0.363, P ﹥ 0.05); In terms of FEV1 and FVC levels, the patients of two groups were all significantly decreased than before (The segmentectomy group: t =6.072,5.338, P <0.05;The lobectomy group:t =10.146,10.499, P <0.05), and the lung founction injury the segmentectomy group was smaller than the lobectomy group (t =4.972、5.475, P <0.05); The incidence of complications revealed no significant difference between the two groups (χ2 =0.075,0.086,0.195,0.086,0.301,0.075,0.485, P ﹥0.05).Conclusion Thoracoscopic pulmonary lobecto -my and pulmonary segmentectomy are all safe and feasible , have the characteristics of less surgical trauma , rapid recovery, fewer complications,and the pulmonary segmentectomy is more conducive to the protection of pulmonary function .
Keywords：Lung cancerLobectomyPulmonary segmentectomyLung function
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 690-693 )